Nebulizers - JD DME
Nebulizers
Coverage
- Durable Medical Equipment Reference List National Coverage Determination (NCD)
- Nebulized Beta Adrenergic Agonist Therapy for Lung Diseases NCD
- Nebulizers Local Coverage Determination (LCD)
- Nebulizers Policy Article
Documentation
- Standard Documentation Requirements for All Claims Submitted to DME MACs
- Clinician Checklist Nebulizers [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Letter - Documentation of Continued Medical Necessity [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Durable Medical Equipment - An Easy Option for Documenting Continued Use [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Nebulizer [PDF] - Letter may be sent to clinicians to help obtain documentation
- Nebulizers and Respiratory Drugs Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
Reviews/Audits
- Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
Tips
Topic | Details |
---|---|
Maximum Frequency replacement accessories |
|
Drug Waste Modifiers |
|
Drugs: Maximum Milligrams/Month |
|
Resources
- CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Sections 110, 110.1, 110.3
- CMS IOM, Publication 100-08, Medicare Program Integrity Manual, Chapter 5, Sections 5.2, 5.7, 5.8, 5.9
Last Updated Thu, 02 Feb 2023 20:00:06 +0000